Inspection on 24/01/06 for Leybourne House

This inspection was carried out on 24th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Leybourne House 02/03/07

Leybourne House 16/09/05

Leybourne House 19/01/05

Leybourne House 05/08/04

Leybourne House 06/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Leybourne House Western Avenue Bournemouth Dorset BH10 6HH Lead Inspector Jo Palmer Unannounced Inspection 09:45 24 January 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000003902.V279925.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000003902.V279925.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Leybourne House Address Western Avenue Bournemouth Dorset BH10 6HH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01202 574426 01202 590382 Care South Mrs Gillian June Blackham Care Home 41 Category(ies) of Dementia - over 65 years of age (41), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (41) DS0000003902.V279925.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Four service users in the age range 18-65 years (in the categories DE or MD) may be accommodated to receive personal care. 16th September 2005 Date of last inspection Brief Description of the Service: Leybourne House is part of the Care South (formerly The Dorset Trust) group of homes and is managed by Mrs Gill Blackham. The Dorset Trust was established in 1991 having leased several homes across Dorset from the local authority, the Trust has since expanded and now provides care in Devon and Somerset resulting in the name change to Care South. Care South is a nonprofit making organisation. Leybourne House provides accommodation for up to 41 older people who have dementia or other mental health needs and who require assistance with personal care. The premises were purpose built by the local authority, and provides 39 single rooms, one with an en-suite shower, and one shared room, over two floors. The first floor is reached by a passenger lift and stairways. Residents are able to benefit from the three lounge/dining room areas and conservatory on the ground floor and the mature, accessible gardens. There is off road parking to the front of the home. DS0000003902.V279925.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection on 24th January 2006 lasted for three hours. Gill Blackham, registered manager assisted throughout the inspection and provided necessary information and access to some records. This was a brief inspection the purpose of which was to monitor progress in addressing a requirement of the last inspection and to review practices in relation to some of the National Minimum Standards. Not all standards were assessed and the reader is referred to the report of the last inspection dated 16th September 2005, which can be obtained either from the home or can be viewed on www.csci.org.uk The inspector spoke with nine residents although six of these had difficulty expressing their views, two members of staff, the chef and the manager, took a tour of the premises and examined relevant records. The Commission sent comment cards to the home prior to the inspection to be distributed to relatives, GP’s visiting health care professionals and care managers. At the time of writing the report, two had been returned from care managers, four from GP practices, one from a district nurse and twenty-three from relatives. Comments received on cards are included in relevant sections throughout this report. What the service does well: A very comprehensive, informative Service User Guide is available to provide residents, their relatives and other interested persons with sufficient information about the care and services provided at Leybourne House. Medication systems in the home are well managed following Royal Pharmaceutical guidance. Residents at Leybourne House have varying degrees of confusion and many are unable to make informed decisions about their lives in the home, however, a good programme of social care is available and activities workers ensure that residents are able, enjoy the benefits of group or individual activities and leisure time dependent on their capacity for involvement. Resident’s friends and families are encouraged to visit and remain in contact and outings to local places of interest are arranged monthly. Residents are offered choices of meals from a menu, where residents are unable to make choices, staff do so on their behalf ensuring that they consider individual likes and dislikes, special diets can be catered for. Lunch time was observed to be a relaxed occasion where the meals looked appetising and were DS0000003902.V279925.R01.S.doc Version 5.1 Page 6 being enjoyed by residents. Staff were in constant attendance for those residents who required assistance. The home or the Commission has received no complaints although procedures are in place assuring any complainant that should they have any concerns, they will be managed effectively. Adult protection procedures are in place ensuring that any allegations of abuse would be managed in accordance with Department of Health guidance. Leybourne House provides residents with a pleasant environment in which to live that has been decorated and furnished in accordance with good practice recommendations from a dementia care specialist. The home is clean, comfortable and well maintained and residents are able to move freely about the home and the secure rear garden. There is sufficient private and communal space for residents. The home is well managed with Gill Blackham having the support of the senior staff team and the care south management structure. Staff spoken with and comments received from relatives, GP’s and other health care professionals confirmed that communication is good and that people are kept informed of relevant or significant events. Health and safety practices in the home are good and systems are in place to ensure that maintenance checks and risk control measures are in place. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000003902.V279925.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000003902.V279925.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. Standard 6 is not applicable. The home’s Service User Guide, which includes the Statement of Purpose, provides residents and their relatives with good information about the care and services provided at Leybourne House. EVIDENCE: The Service User Guide has been updated since the last inspection, a copy of this was provided for the Commission’s file. The Service User Guide is available to residents and relatives to the home. A review of the guide demonstrated that very detailed information is provided about care and services at the home along with guidance on preventing falls, how residents can call for assistance and what to do in the event of a fire. Standards 2, 3, 4 & 5 were not assessed; the last inspection reported these standards were met. DS0000003902.V279925.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 There are satisfactory arrangements for managing medication in the interests of residents. EVIDENCE: Standards 7, 8 & 10 were not assessed; the last inspection reported these standards as met. Medication systems were reviewed. The supplying chemist provides medicines to the home in 28-day blister packs that come with supporting documentation. Pre-printed records provided by the chemist with the medication allow for the amount of medicines received into the home to be recorded along with a record of when the medication has been administered to each resident. Some medicines, not suitable to go in blister packs including liquid medications and ‘as required’ medicines are supplied in correctly labelled boxes or bottles. A review of the blister packs and stocks of medicines demonstrated that correct systems are adopted and residents receive their medicines in the correct dose at the correct time. A few gaps in administration records were noted although not a significant number. Mrs Blackham confirmed that she would identify the staff member responsible and ensure she is reminded of the importance of signing all medication administration record sheets. The room where DS0000003902.V279925.R01.S.doc Version 5.1 Page 10 medication is stored had a thermometer registering 23°C, some medicines are to be stored below 20°C and it is recommended that a calibrated thermometer is obtained in order to monitor the storage facility temperatures. DS0000003902.V279925.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 15 Social, cultural, and recreational activities are organised to enable each residents to participate to some degree dependent on their preferences and capacity for involvement. Residents are able to maintain contact with friends and family and visits are encouraged. Dietary needs of residents are well catered for with a balanced and varied selection of food available that is well presented and meets residents’ tastes and choices. EVIDENCE: Staff are in post specifically to provide activities for residents, two staff work as activities coordinators between Monday and Thursday, and one on Friday and the weekends. An activities programme was seen; this demonstrated a range of activities including music, quizzes, arts and crafts, reminiscence and validation therapies, cooking, video afternoons and ‘laughter therapy’. The activities coordinator on duty was spoken with who confirmed that the programme is flexible and subject to change as activities are not imposed on residents if there is no interest on a particular day for a particular activity. In addition to the stated programme, small groups and individual activities take place and vary in time and intensity to suit the needs of the resident. Many residents at Leybourne House have do not retain the capacity for lengthy DS0000003902.V279925.R01.S.doc Version 5.1 Page 12 periods of concentration and the activities coordinator confirmed that activities and social programmes are often tailored specifically to accommodate this. Of twenty-three comment cards returned from relatives of residents living at the home, all confirmed that they are made to feel welcome when they visit and that staff communicate well with them and they are consulted about their relatives care. Three of the returned comment cards indicated that they were not able to visit their relative in private. Mrs Blackham stated that generally residents spend their day in the lounge areas of the home although were at liberty to go to their rooms when they receive visitors; Mrs Blackham discussed ways of ensuring that relatives were aware of this as it is an issue that had been raised before. Residents spoken with who were able to comment complimented the provision of meals. Part of the midday meal was observed, it was served to residents in the dining rooms, which had a pleasant relaxed atmosphere and where staff were in attendance for those needing assistance. The chef was spoken with who explained the system for catering, a four-week rotating menu is used from which to prepare meals, and the menu is reviewed regularly. Residents are asked each day by a member of care staff what they would like from the menu, where residents are unable to make a choice, staff will choose a suitable meal with knowledge of the resident’s likes and dislikes. Chef confirmed that he always uses fresh ingredients and that stocks of produce are available in good supply. Individual dietary requirements and special needs are catered for. DS0000003902.V279925.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 A written complaints procedure is available giving residents and relatives confidence that steps will be taken to deal with any complaint or concern they may have. Adult protection procedures are in accordance with Department of Health guidance, meaning that any allegations of abuse can be managed effectively. EVIDENCE: The home’s complaints procedure is outlined in the Service User Guide and is posted in the entrance to the home. A separate procedure for staff is available detailing the action to take should any person complain about the care or services provided. The procedures state that any complaint will be acknowledged, investigated and reported on and complainants can expect an outcome within a given timeframe. Complainants are directed to the commission at any time or if they are not satisfied with the outcome of any investigation. Mrs Blackham confirmed that no complaints had been received. Adult protection policies with procedural guidance for staff to follow should any allegations of abuse be reported are held in accordance with Department of Health guidance. Staff receive training in adult protection issues as part of their induction programme. No incidents have been reported. DS0000003902.V279925.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 & 26 Leybourne House provides clean, well-maintained premises where residents benefit from the security of knowing that systems are in place to protect their health and safety. Residents have access to comfortable accommodation in their private rooms and in communal lounge and dining rooms space, bathrooms and toilets provide adequate facilities and residents are assisted around the home with appropriate equipment and aids to benefit their independence and mobility. EVIDENCE: Mrs Blackham has a maintenance plan detailing when servicing and maintenance of equipment is due, a maintenance file indicates that all equipment including the bath aids, fire equipment, lift, electrical equipment and electrical and gas installations are maintained regularly. Two rooms had been recently decorated and Mrs Blackham confirmed the plan for some redecoration and refurbishment for 2006 including the lounge and dining area, the laundry and one of the bathrooms. Immediate repairs and maintenance are carried out as required, for example, the inspector noted some loose tiles DS0000003902.V279925.R01.S.doc Version 5.1 Page 15 around a wash-basin, Mrs Blackham confirmed that the maintenance person had this on the list of repairs and was due the following day. Leybourne House provides three separate lounge and dining areas of good size and a conservatory. The communal space was being well used by residents at the time of inspection and Mrs Blackham confirmed that most residents enjoy the lounge areas rather than their bedrooms during the day. Outside the home, there are gardens accessible to residents in the finer weather and the front of the home provides off road parking. Bathrooms and toilets are sited at convenient locations around the home accessible to residents during the day and night. Bathrooms vary in facilities with provision of different types of bathing aids. A qualified occupational therapist carried out an assessment of the premises in August 2004 to establish the extent of the disability equipment, aids and adaptations necessary to aid mobility around the home. The report of the visit was not seen although Mrs Blackham confirmed that a recommendation from the report had been addressed regarding the provision of higher hand rails around some of the toilets. Since August 2004, there have been no changes to the structure of the premises. Each room is provided with an alarm call bell that residents can use to summons assistance. Some residents have pressure mats by their beds for security and safety purposes. Pressure mats are used for residents who may wander or fall if left unattended, an alarm, connected to the central alarm system, sounds to alert staff when the resident gets out of bed and steps on the mat. During a tour of the premises, two of these pressure mat alarms were activated, there was a delay of ten minutes before a member of staff responded. Of those resident’s rooms visited some are personalised to varying degrees reflecting the individuality of the occupants, other rooms are less personal. Many residents at Leybourne House have limited ability to organise their own environment and are reliant on relatives and staff for assistance. Mrs Blackham confirmed that she has an allowance in this year’s budget from Care South to purchase pictures and other items to brighten up those rooms where residents have limited personal belongings. Shared rooms provide adequate screening for privacy and all rooms have suitable locks that are accessible from the outside in the event of an emergency. The temperature, lighting, heating and ventilation in the home were adequate for the time of year and weather conditions. All radiators and pipe-work are guarded to prevent accidental scalding and although water temperatures were not measured during this visit, a report from the environmental Health officer was seen which confirmed that hot water is stored and distributed at temperatures above 60°C in accordance with regulations concerning Legionnaires disease and is controlled at hot water outlets in residents areas at temperatures no higher then 43°C to prevent accidental scalding. DS0000003902.V279925.R01.S.doc Version 5.1 Page 16 The laundry room provides facilities for washing and drying residents clothing, there is currently one machine and one tumble dryer. Mrs Blackham confirmed that the laundry provision has been reviewed and a priority for 2006 is to have the laundry re-sited to another area of the home where there will be more space for additional machines. Infection control procedures are observed throughout the home. Staff are provided with anti-bacterial soap and disposable towels for hand washing and alcohol gel hand rubs and procedures are in place for managing soiled laundry. DS0000003902.V279925.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed during this visit. For more detail, the reader is referred to the inspection report dated 16th September 2005, which reported all these standards as met. EVIDENCE: DS0000003902.V279925.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 & 38 The management arrangements of the home support good care practices for residents and the manager is supported well by senior staff in providing clear leadership and regular reviews of performance through a good programme of consultations, which include seeking the views of residents, staff and relatives. Good management of Health and safety practices in the home protect residents welfare. EVIDENCE: Gill Blackham, registered manager, manages the home competently; Mrs Blackham has attained an NVQ level 4 in management and has a Diploma in Welfare Studies. A team of senior staff support Mrs Blackham with care, administrative and organisational duties in the home. Additionally, Mrs Blackham has the support of the organisation and a Care Services Manager from Care South visits the home regularly and carries out monthly inspection visits to report on the conduct of the home to the directors. DS0000003902.V279925.R01.S.doc Version 5.1 Page 19 Mrs Blackham confirmed that separate staff meetings are held for day staff, night staff, and domestic and ancillary staff in order to make meetings more relevant and target the appropriate staff group for specific discussions. Staff spoken with confirmed that they felt well managed and that there was an open and inclusive working environment. Care South employs the services of a consultant to carry out annual quality assurance surveys. A report of the quality assurance reports for 2004 and 2005 were seen; both made mainly positive conclusions about the care and services provided following measured consultation with residents, staff and relatives. Where some issues were raised where improvements could be made, there was no development plan available addressing the action that would be taken to progress these issues. Mrs Blackham confirmed that following the 2004 quality audit, she had not been required to produce an action plan although is now expected to for the 2005 survey. The 2005 survey report was written in December 2005 and Mrs Blackham stated that she would work on a development plan with appropriate action points over the coming months. Mrs Blackham is reminded to send a copy of her development plan to address any issues of improvement to the Commission. Records seen relating to checking of fire systems were well maintained and demonstrated that checking was carried out at the required intervals. Maintenance records were seen confirming that regular testing and servicing of the electrical installation of the home, the lift, the water chlorination system, gas safety record, mechanical aids and portable electrical appliances is carried out. Leybourne House has recently received visits form the Environmental Health Officer in relation to food hygiene and Health and Safety, reports of these confirm that good practice was being maintained. DS0000003902.V279925.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 1 X 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 DS0000003902.V279925.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement The registered persons must ensure that systems are in place to ensure that staff know whose responsibility it is to respond to emergency call bells. Where a resident has been assessed as being at risk of falling or wandering and use of a pressure mat is recommended, all alarms must responded to within an agreed timescale. Timescale for action 1 OP22 16 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations It is recommended that a calibrated thermometer is used to monitor the temperature of the store cupboard for medicines that should be held below 20°C. DS0000003902.V279925.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000003902.V279925.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!